Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 056317

Golden Haven Care Center

88 federal citations on record , including 7 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $74,602.

7 Immediate Jeopardy

Record summary

Federal record · Q1 2026
88
Total citations
62
Last 3 years
8
Actual harm+
4
Federal penalties
$74,602
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care27 Resident Rights12 Care Planning11 Medication & Pharmacy10 Infection Control8

Most common F-tags at this facility

F6566 F6844 F8804 F6894 F5583

Citation history

88 on record
SurveyF-TagViolationSeveritySource
Dec 29, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 21, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
Feb 19, 2025F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DComplaint
Dec 7, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Dec 7, 2024F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DStandard
Dec 7, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard
Dec 7, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Dec 7, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Dec 7, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Dec 7, 2024F732Post nurse staffing information every day.EStandard
Dec 7, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Dec 7, 2024F695Provide safe and appropriate respiratory care for a resident when needed.JStandard
Dec 7, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Dec 7, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
Dec 7, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Dec 7, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 7, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 7, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Dec 7, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Dec 7, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard
Dec 7, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard
Dec 7, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Dec 7, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Aug 10, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Aug 10, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint
Aug 10, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Aug 10, 2024F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.JComplaint
Jul 23, 2024F880Provide and implement an infection prevention and control program.DComplaint
Jun 4, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jun 4, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Jun 4, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
May 17, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
May 17, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 23, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EComplaint
Apr 23, 2024F760Ensure that residents are free from significant medication errors.EComplaint
Apr 23, 2024F732Post nurse staffing information every day.DComplaint
Mar 1, 2024F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EComplaint
Mar 1, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Feb 14, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Feb 14, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 8, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Dec 8, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Dec 8, 2023F880Provide and implement an infection prevention and control program.EStandard
Dec 8, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Dec 8, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 8, 2023F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard
Dec 8, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Dec 8, 2023F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Dec 8, 2023F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Dec 8, 2023F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EStandard
Dec 8, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 8, 2023F679Provide activities to meet all resident's needs.DStandard
Dec 8, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Dec 8, 2023F558Reasonably accommodate the needs and preferences of each resident.EStandard
Sep 13, 2023F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DComplaint
Sep 13, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.JComplaint
Sep 13, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Aug 25, 2023F880Provide and implement an infection prevention and control program.EComplaint
Aug 25, 2023F695Provide safe and appropriate respiratory care for a resident when needed.JComplaint
Aug 25, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 25, 2023F624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint
Aug 25, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.JComplaint
Dec 12, 2022F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Dec 12, 2022F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.DStandard
Dec 12, 2022F881Implement a program that monitors antibiotic use.DStandard
Dec 12, 2022F880Provide and implement an infection prevention and control program.DStandard
Dec 12, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Dec 12, 2022F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
Dec 12, 2022F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard
Dec 12, 2022F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.DStandard
Dec 12, 2022F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Dec 12, 2022F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Dec 12, 2022F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Dec 12, 2022F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Dec 12, 2022F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Dec 12, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Dec 12, 2022F685Assist a resident in gaining access to vision and hearing services.DStandard
Dec 12, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 12, 2022F679Provide activities to meet all resident's needs.DStandard
Dec 12, 2022F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Dec 12, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 12, 2022F641Ensure each resident receives an accurate assessment.DStandard
Dec 12, 2022F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Dec 12, 2022F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Dec 12, 2022F572Give residents a notice of rights, rules, services and charges.DStandard
Dec 12, 2022F565Honor the resident's right to organize and participate in resident/family groups in the facility.DStandard
Dec 12, 2022F558Reasonably accommodate the needs and preferences of each resident.DStandard
Dec 12, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $74,602 and 1 payment-denial actions spanning 4 days.

DateTypeFinePayment denial
Dec 7, 2024Fine$32,221—
Jul 23, 2024Fine$16,800—
Apr 23, 2024Payment Denial—Jun 25, 2024 · 4 days
Aug 25, 2023Fine$25,581—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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